Individual provider Active NPI

Gregory J Johns, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1962443622
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22763 Issued in AZ
Practice address
4400 N 32ND St Ste 200
Phoenix, AZ 85018-3965
Phone
(602) 522-1900
Fax
(602) 381-3281
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22763 AZ Primary

Addresses

Primary practice location

4400 N 32ND St Ste 200
Phoenix, AZ 85018-3965

Mailing address

4400 N 32ND St Ste 200
Phoenix, AZ 85018-3965
Phone (602) 522-1900

Other identifiers 1

IdentifierTypeStateIssuer
320292MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000628 AZ Practitioner - Internal Medicine 3274574405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Internal Medicine of Arizona PCGroup PAC ID 4284526534, 6 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

4840 E Indian School Rd
Suite 101
Phoenix, AZ 85018-5500
Phone (602) 522-1900

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Scottsdale, AZ, CCN 037492
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

Merit-based Incentive Payment System (MIPS)

Final score
19.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22763AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Arizona PC Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Medical Specialists PastSince May 18, 2005 Accepting new patients

Locations

4840 E Indian School Rd
Ste 101
Phoenix, AZ 85018
Phone (602) 224-1900

3333 E Camelback Rd
Ste 122
Phoenix, AZ 85018
Phone (602) 522-1900

4400 N 32nd St
Ste 200
Phoenix, AZ 85018
Phone (602) 522-1900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1962443622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183965",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183965",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320292",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.